Patent RU-2735722-C1 (RU)
Inventor: Fesiun Anatolii Dmitrievich
IPC: A61B5/00
Filed: 2020-08-18
Granted: 2020-11-06
Abstract: FIELD: medicine. 
     SUBSTANCE: invention relates to medicine, medical equipment and rehabilitation using computer technology, innovative electronic developments of distance learning and treatment systems, cloud systems and is based on use of a telemedicine platform for rehabilitation online sessions with patients suffering from or undergoing coronaviral infection in self-isolation mode, for complex improvement of the functions of their respiratory, cardiovascular, motor, digestive, and nervous systems. Remote rehabilitation is performed on a cloud telemedical platform – COVIDREHAB, using a device suitable for unobstructed Internet access and video communication in real time. First, patient leaves online application on platform portal for remote rehabilitation, filling a set of questionnaires, attending physician checks completed questionnaires: health assessment, mMRC (Modified Medical Research Council), SF-36, and determines indications and contra-indications for remote rehabilitation in accordance with information received from patient. If, in the process of filling out the questionnaires, the patient indicates a symptom that is dangerous or critical for life and health, patient immediately receives notification from attending physician on in-person seeking of medical care. According to results of patient filling questionnaires and analyzing available information on patient's condition, attending physician through portal of telemedicine platform opens the patient access to set of medical recommendations in form of links to Internet resources with remote sessions with an instructor of physical therapy (PT), as well as with information materials or video lections, placed on the same portal and relating, in addition to PT, recommendations for nutrition, intestinal microflora recovery and drug-free posttraumatic recovery methods, or in accordance with the patient's condition, sends a message on the need for an in-person visit to the doctor. As rehabilitation measures, patients undergo a distance rehabilitation course for 20 days: 14 days of online sessions with a PT instructor and according to the indications – with a psychologist, in a group or individually, and 6 days of self-study on video lessons. At that, as PT sessions, diaphragmatic breathing is taught to patients in online classes led by an instructor, after which they perform complex exercises of respiratory gymnastics using diaphragmatic breathing under video surveillance of instructor. In the sitting and standing positions, a complex of general strengthening exercises with respiratory exercises elements is performed, including power and aerobic exercises of increasing intensity. After each session, the patients fill the PT activity tolerance questionnaire, according to the results of which either continue this course, or the physician directs them a link to the passage of another PT complex, in accordance with their tolerability. Remote online sessions for 14 days are daily, each consisting of consecutive blocks: first 5 minutes of diaphragmatic breathing, then 40 minutes of PT, including respiratory gymnastics, then patients fill the PT activity tolerance questionnaire and send it through platform portal to attending physician, sessions with psychologist according to indications, consultation of the attending physician on dynamics of the patient's state with making a decision on continuation of the current rehabilitation complex or on the complex replacement in accordance with patient's tolerance. At end of 14th session, the patient refills the set of questionnaires used before the rehabilitation, and sends them through the platform portal to the attending physician to assess the health state dynamics, by results of which the physician directs the patient to the recommendations of the video lessons for independent rehabilitation – continuation or change of PT complexes, respiratory exercises, the corresponding psychological effect, diet, wherein the duration of each video lesson with independent exercise by the patient of the corresponding exercises does not exceed 30 minutes. 
     EFFECT: method provides enlarging the rehabilitation possibilities of the patients with coronavirus infection both physically and psychologically, improving functions of various human body systems within the complex unified rehabilitation program, improving quality of life of patients with the possibility of direct dynamic monitoring of their health in real time; also the method provides accelerated process of recovery after treatment, provides psychological support irrespective of the patient's location, prevention of secondary complications. 
     3 cl, 1 ex, 6 tbl